Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Bjorn Roe

Individual provider Counselor · NPI 1134968175

Ethan Bjorn Roe is a Counselor in New Brighton, Minnesota. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789
Phone: (651) 419-4351
Fax: (651) 628-0411
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1134968175
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 20, 2024
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024
Mailing address1840 Major Dr N, Golden Valley, MN 55422-4153

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